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The objective is to evaluate the cytogenetic response to Dasatinib (BMS-354825) administered for 24 weeks in subjects with Imatinib resistant or intolerant chronic phase chronic myeloid leukemia (CML) once daily (QD) or twice daily. (BID)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental |
| |
| B | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dasatinib | Drug | tablets, Oral, 100 mg, once daily |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24 | Cytogenetic responses (CyR) are based on the percentage of Philadelphia-positive (Ph+) metaphases among at least 20 metaphase cells in each bone marrow (BM) sample. The criteria for cytogenetic responses are as follows. Best CyR is defined as the best response obtained at any time during the study. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR; 0 Ph+ Cells in Metaphase in BM), and Partial Cytogenetic Response (PCyR; 1 - 35 Ph+ Cells in Metaphase in BM). | Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuations, and Deaths During Treatment | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. Related AE=relationship of certain, probable, possible, or missing. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Major Cytogenetic Response at Months 0 - 24 (Duration of MCyR Life Table) | MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Ph+ Cells in Metaphase in BM: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | Months 0, 4, 8, 12, 16, 20, 24 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Local Institution | Nagoya | Aichi-ken | 464-8681 | Japan | ||
| Local Institution |
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| ID | Title | Description |
|---|---|---|
| FG000 | Dasatinib 100 mg Once-daily (QD) Starting Dose | Starting dose of 100 mg QD oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. |
| FG001 | Dasatinib 50 mg Twice-daily (BID) Starting Dose | Starting dose of 50 mg BID oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Dasatinib 100 mg Once-daily (QD) Starting Dose | Starting dose of 100 mg QD oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. |
| BG001 | Dasatinib 50 mg Twice-daily (BID) Starting Dose |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24 | Cytogenetic responses (CyR) are based on the percentage of Philadelphia-positive (Ph+) metaphases among at least 20 metaphase cells in each bone marrow (BM) sample. The criteria for cytogenetic responses are as follows. Best CyR is defined as the best response obtained at any time during the study. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR; 0 Ph+ Cells in Metaphase in BM), and Partial Cytogenetic Response (PCyR; 1 - 35 Ph+ Cells in Metaphase in BM). | All treated participants | Posted | Number | 95% Confidence Interval | percentage of participants | Week 24 |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Dasatinib 100 mg Once-daily (QD) Starting Dose | Starting dose of 100 mg QD oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Enterocolitis | Gastrointestinal disorders |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| BMS Study Director | Bristol-Myers Squibb | Clinical.Trials@bms.com |
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| ID | Term |
|---|---|
| D015464 | Leukemia, Myelogenous, Chronic, BCR-ABL Positive |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D000069439 | Dasatinib |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
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| dasatinib | Drug | tablets, Oral, 50 mg, twice daily |
|
|
| Throughout study period to last observation. Dosing period=6 months; if beneficial, medication may continue in the extension period (ending in January 2009). Last observation=30 days past last dosing day or the discontinuation day. |
| Complete Hematologic Response (CHR) in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24 | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | Week 24 |
| Time to Major Cytogenetic Response (MCyR) | Time to MCyR is defined as the time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met. MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Ph+ Cells in Metaphase in bone marrow: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met |
| Pharmacokinetics of Dasatinib (BMS-354825) as Characterized by Population Pharmacokinetics | Blood sample collection for pharmacokinetic (PK) analysis that will contribute to PK modeling. | Six or more peripheral blood samples were collected at any visit after Day 7, pre-dose and 5 - 8 hours after dose administration. |
| Duration of MCyR | The duration of MCyR will be measured from the first day all criteria are met for CCyR or PCyR until the date of progressed disease (PD) or death. Subjects who neither progress nor die will be censored on the date of their last cytogenetic assessment.MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Philadelphia-positive (Ph+) Cells in Metaphase in bone marrow: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | from the first day all criteria are met for CCyR or PCyR until the date of progressed disease (PD) or death |
| Time to CHR | Time to CHR = time from first dose of Dasatinib until the first day CHR criteria are met (provided subjects achieved a cCHR). CHR=all of the following criteria: white blood cell count ≤ upper limit of normal; platelets <450,000/mm³; no blasts or promyelocytes in peripheral blood; <5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils <20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | time from first dose of Dasatinib (BMS-354825) until the first day CHR criteria are met |
| Duration of CHR | The duration of CHR were measured from the first day all criteria were first met for CHR (provided subjects achieved a cCHR), until the date PD is first reported or until death. Subjects who neither progress nor die were censored on the date of their last hematologic assessment. | measured from the first day all criteria were first met for CHR (provided subjects achieved a cCHR), until the date PD is first reported or until death |
| Progression-Free Survival (PFS) | Progressed disease=achieving a CHR & subsequently no longer meeting criteria consistently over a consecutive 2-week period after starting maximum dose; no CHR after receiving maximum dose & increase in white blood cell count (doubling of count from lowest value to >20,000/mm3 or an increase by >50,000/mm3 on 2 assessments done ≥2 weeks apart); meeting the criteria of accelerated or blastic phase chronic myeloid leukemia at any time; having an MCyR & subsequently no longer meeting the criteria for MCyR after starting maximum dose; or having a >=30% absolute increase in number of Ph+ metaphases. | time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met |
| Expression of BCR-ABL Gene Mutations of RNA (mRNA) | Number of participants with positive (>= 2.0 log copies/mg) and negative (<2.0 log copies/mg) expression of mRNA at Baseline and at end of study. | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
| Mutational Spectrum of BCR-ABL | Number of participants with a particular BCR-ABL mutation at Baseline and End-of-Study. | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
| Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study | Cytogenetic response (CyR) as reflected in the major cytogenetic response was determined by bone marrow (BM) aspirates and are based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each BM sample. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR; 0 Ph+ Cells in Metaphase in BM), or Partial Cytogenetic Response (PCyR; 1 - 35 Ph+ Cells in Metaphase in BM). | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
| Hematologic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
| Number of Participants With CHR at Months 0 - 24 (Duration of MCyR Life Table) | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | Months 0, 4, 8, 12, 16, 20, 24 |
| Number of Participants With Progression-Free Survival (PFS) at Months 0 - 24 (PFS Life Table) | Progressed disease=achieving a CHR and subsequently no longer meeting criteria consistently over a consecutive 2-week period after starting maximum dose; no CHR after receiving maximum dose and an increase in white blood cell count (doubling of the count from lowest value to >20,000/mm3 or an increase by >50,000/mm3 on 2 assessments done at least 2 weeks apart); meeting the criteria of accelerated or blastic phase CML at any time; having an MCyR and subsequently no longer meeting the criteria for MCyR after starting maximum dose; or having a >=30% absolute increase in number of Ph+ metaphases. | Months 0, 4, 8, 12, 16, 20, 24 |
| Nishinomiya-Shi |
| Hyōgo |
| 663-8501 |
| Japan |
| Local Institution | Kagoshima | Kagoshima-ken | 890-0064 | Japan |
| Local Institution | Isehara-Shi | Kanagawa | 259-1193 | Japan |
| Local Institution | Kyoto | Kyoto | Japan |
| Local Institution | Hamamatsu | Shizuoka | 431-3192 | Japan |
| Local Institution | Bunkyo-Ku | Tokyo | 113-8677 | Japan |
| Local Institution | Chuo-Ku | Tokyo | 104-0045 | Japan |
| Local Institution | Shibuya-Ku | Tokyo | 150-8935 | Japan |
Starting dose of 50 mg BID oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Age, Customized | Number | participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Eastern Cooperative Oncology Group Performace Status (ECOG-PS) | ECOG PS scale is a 6-item scale to assess disease progression, daily functioning, and appropriate treatment and prognosis. Scale=0-5, with 0=fully active, 1=restricted in physically strenuous activity but ambulatory, 2=ambulatory and capable of all selfcare but unable to work, 3= limited selfcare ability and confined to bed/chair >50% of waking hours, 4=completely disabled and no selfcare ability and confined to bed/chair, and 5=death | Number | participants |
|
| Imatinib Status | Resistance to Imatinib=Previously treated with imatinib at a dose of ≥ 400 mg/day AND developed progressive disease while receiving imatinib at that dose. Intolerance to Imatinib=development of a Grade ≥3 toxicity considered at least possibly related to imatinib at a dose of ≤400 mg/day which led to discontinuation of therapy. | Number | participants |
|
| OG001 | Dasatinib 100 mg QD Starting Dose - Imatinib-resistant | Imatinib-resistant participants treated with a starting Dasatinib (BMS-354825) dose of 100 mg QD oral continuous daily dosing (CCD) for 24 weeks. |
| OG002 | Dasatinib 100 mg QD Starting Dose - Imatinib-intolerant | Imatinib-intolerant participants treated with a starting Dasatinib (BMS-354825) dose of 100 mg QD oral continuous daily dosing (CCD) for 24 weeks. |
| OG003 | Dasatinib 50 mg BID Starting Dose Cohort | All participants treated with a starting Dasatinib (BMS-354825) dose of 50 mg BID oral continuous daily dosing (CCD) for 24 weeks. |
| OG004 | Dasatinib 50 mg BID Starting Dose - Imatinib-resistant | Imatinib-resistant participants treated with a starting Dasatinib (BMS-354825) dose of 50 mg BID oral continuous daily dosing (CCD) for 24 weeks. |
| OG005 | Dasatinib 50 mg BID Starting Dose - Imatinib-intolerant | Imatinib-intolerant participants treated with a starting Dasatinib (BMS-354825) dose of 50 mg BID oral continuous daily dosing (CCD) for 24 weeks. |
|
|
| Secondary | Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuations, and Deaths During Treatment | AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. Related AE=relationship of certain, probable, possible, or missing. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in the development of drug dependency or drug abuse, is an important medical event. | All treated participants | Posted | Number | participants | Throughout study period to last observation. Dosing period=6 months; if beneficial, medication may continue in the extension period (ending in January 2009). Last observation=30 days past last dosing day or the discontinuation day. |
|
|
|
| Secondary | Complete Hematologic Response (CHR) in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24 | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | All treated participants | Posted | Number | 95% Confidence Interval | percentage of participants | Week 24 |
|
|
|
| Secondary | Time to Major Cytogenetic Response (MCyR) | Time to MCyR is defined as the time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met. MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Ph+ Cells in Metaphase in bone marrow: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | Treated participants - responders | Posted | Median | 95% Confidence Interval | months | time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met |
|
|
|
| Secondary | Pharmacokinetics of Dasatinib (BMS-354825) as Characterized by Population Pharmacokinetics | Blood sample collection for pharmacokinetic (PK) analysis that will contribute to PK modeling. | Blood samples were collected for PK to be included in separate population PK analyses. No study specific PK analyses were planned for this report. | Posted | Number | participants | Six or more peripheral blood samples were collected at any visit after Day 7, pre-dose and 5 - 8 hours after dose administration. |
|
|
| Secondary | Duration of MCyR | The duration of MCyR will be measured from the first day all criteria are met for CCyR or PCyR until the date of progressed disease (PD) or death. Subjects who neither progress nor die will be censored on the date of their last cytogenetic assessment.MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Philadelphia-positive (Ph+) Cells in Metaphase in bone marrow: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | Median duration was not reached at the time of this report; see Outcome Measure 14 for corresponding life table. | Posted | Median | 95% Confidence Interval | months | from the first day all criteria are met for CCyR or PCyR until the date of progressed disease (PD) or death |
|
|
| Secondary | Time to CHR | Time to CHR = time from first dose of Dasatinib until the first day CHR criteria are met (provided subjects achieved a cCHR). CHR=all of the following criteria: white blood cell count ≤ upper limit of normal; platelets <450,000/mm³; no blasts or promyelocytes in peripheral blood; <5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils <20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | Treated participants - responders | Posted | Median | 95% Confidence Interval | months | time from first dose of Dasatinib (BMS-354825) until the first day CHR criteria are met |
|
|
|
| Secondary | Duration of CHR | The duration of CHR were measured from the first day all criteria were first met for CHR (provided subjects achieved a cCHR), until the date PD is first reported or until death. Subjects who neither progress nor die were censored on the date of their last hematologic assessment. | Median duration of CHR was not reach at the time of this report. See corresponding life table presented in Outcome Measure 15. | Posted | Median | 95% Confidence Interval | months | measured from the first day all criteria were first met for CHR (provided subjects achieved a cCHR), until the date PD is first reported or until death |
|
|
| Secondary | Progression-Free Survival (PFS) | Progressed disease=achieving a CHR & subsequently no longer meeting criteria consistently over a consecutive 2-week period after starting maximum dose; no CHR after receiving maximum dose & increase in white blood cell count (doubling of count from lowest value to >20,000/mm3 or an increase by >50,000/mm3 on 2 assessments done ≥2 weeks apart); meeting the criteria of accelerated or blastic phase chronic myeloid leukemia at any time; having an MCyR & subsequently no longer meeting the criteria for MCyR after starting maximum dose; or having a >=30% absolute increase in number of Ph+ metaphases. | Median months of progression-free survival was not reached at the time of this report. See corresponding life table in Outcome Measure 16. | Posted | Median | 95% Confidence Interval | months | time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met |
|
|
| Secondary | Expression of BCR-ABL Gene Mutations of RNA (mRNA) | Number of participants with positive (>= 2.0 log copies/mg) and negative (<2.0 log copies/mg) expression of mRNA at Baseline and at end of study. | Treated participants | Posted | Number | participants | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
|
|
|
| Secondary | Mutational Spectrum of BCR-ABL | Number of participants with a particular BCR-ABL mutation at Baseline and End-of-Study. | Treated participants | Posted | Number | participants | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
|
|
|
| Secondary | Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study | Cytogenetic response (CyR) as reflected in the major cytogenetic response was determined by bone marrow (BM) aspirates and are based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each BM sample. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR; 0 Ph+ Cells in Metaphase in BM), or Partial Cytogenetic Response (PCyR; 1 - 35 Ph+ Cells in Metaphase in BM). | All treated participants | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
|
|
|
| Secondary | Hematologic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | All treated participants | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.) |
|
|
|
| Other Pre-specified | Number of Participants With Major Cytogenetic Response at Months 0 - 24 (Duration of MCyR Life Table) | MCyR = a complete and a partial cytogenetic response (CyR), based on the percentage of Ph+ metaphases among at least 20 metaphase cells in each bone marrow sample. Percentage of Ph+ Cells in Metaphase in BM: Complete Cytogenetic Response (CCyR) = 0; Partial Cytogenetic Response (PCyR) 1 - 35 | Treated participants. Median duration was not reached at the time of this report (see Outcome Measure 6) | Posted | Number | participants | Months 0, 4, 8, 12, 16, 20, 24 |
|
|
|
| Other Pre-specified | Number of Participants With CHR at Months 0 - 24 (Duration of MCyR Life Table) | CHR=all of the following criteria: white blood cell count ≤ institutional upper limit of normal; platelets < 450,000/mm³; no blasts or promyelocytes in peripheral blood; < 5% myelocytes plus metamyelocytes in peripheral blood; peripheral blood basophils < 20%; no extramedullary involvement. A confirmed CHR (cCHR) is obtained when all above criteria are maintained for at least 28 days after they are first met. All hematologic responses can begin only 14 days after the dosing start date. | Treated participants. Median duration was not reached at the time of this report (see Outcome Measure 7) | Posted | Number | participants | Months 0, 4, 8, 12, 16, 20, 24 |
|
|
|
| Other Pre-specified | Number of Participants With Progression-Free Survival (PFS) at Months 0 - 24 (PFS Life Table) | Progressed disease=achieving a CHR and subsequently no longer meeting criteria consistently over a consecutive 2-week period after starting maximum dose; no CHR after receiving maximum dose and an increase in white blood cell count (doubling of the count from lowest value to >20,000/mm3 or an increase by >50,000/mm3 on 2 assessments done at least 2 weeks apart); meeting the criteria of accelerated or blastic phase CML at any time; having an MCyR and subsequently no longer meeting the criteria for MCyR after starting maximum dose; or having a >=30% absolute increase in number of Ph+ metaphases. | Treated participants. Median duration was not reached at the time of this report (see Outcome Measure 7) | Posted | Number | participants | Months 0, 4, 8, 12, 16, 20, 24 |
|
|
|
| 4 |
| 11 |
| 11 |
| 11 |
| EG001 | Dasatinib 50 mg Twice-daily (BID) Starting Dose | Starting dose of 50 mg BID oral continuous daily dosing of Dasatinib (BMS-354825) for 24 weeks. One dose escalation allowed for nonresponding participants; dose reduction mandated according to the observed toxicity. | 6 | 12 | 12 | 12 |
| EG002 | Total | 10 | 23 | 23 | 23 |
| Gastrointestinal haemorrhage | Gastrointestinal disorders |
|
| Pyrexia | General disorders |
|
| Pneumonia | Infections and infestations |
|
| Gastroenteritis viral | Infections and infestations |
|
| Nasopharyngitis | Infections and infestations |
|
| Upper respiratory tract infection | Infections and infestations |
|
| Glucose tolerance impaired | Metabolism and nutrition disorders |
|
| Myelodysplastic syndrome | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders |
|
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders |
|
| Iron deficiency anaemia | Blood and lymphatic system disorders |
|
| Pericardial effusion | Cardiac disorders |
|
| Cardiac failure | Cardiac disorders |
|
| Eustachian tube obstruction | Ear and labyrinth disorders |
|
| Eyelid oedema | Eye disorders |
|
| Cataract | Eye disorders |
|
| Conjunctivitis | Eye disorders |
|
| Conjunctivitis allergic | Eye disorders |
|
| Retinopathy | Eye disorders |
|
| Diarrhoea | Gastrointestinal disorders |
|
| Constipation | Gastrointestinal disorders |
|
| Dental caries | Gastrointestinal disorders |
|
| Gastritis | Gastrointestinal disorders |
|
| Stomatitis | Gastrointestinal disorders |
|
| Nausea | Gastrointestinal disorders |
|
| Vomiting | Gastrointestinal disorders |
|
| Abdominal distension | Gastrointestinal disorders |
|
| Abdominal pain | Gastrointestinal disorders |
|
| Dyspepsia | Gastrointestinal disorders |
|
| Enterocolitis | Gastrointestinal disorders |
|
| Gastric ulcer | Gastrointestinal disorders |
|
| Gastritis erosive | Gastrointestinal disorders |
|
| Gingival bleeding | Gastrointestinal disorders |
|
| Gingivitis | Gastrointestinal disorders |
|
| Irritable bowel syndrome | Gastrointestinal disorders |
|
| Oedema mouth | Gastrointestinal disorders |
|
| Stomach discomfort | Gastrointestinal disorders |
|
| Gastric dysplasia | Gastrointestinal disorders |
|
| Pyrexia | General disorders |
|
| Oedema peripheral | General disorders |
|
| Malaise | General disorders |
|
| Chest pain | General disorders |
|
| Face oedema | General disorders |
|
| Oedema | General disorders |
|
| Fatigue | General disorders |
|
| Feeling abnormal | General disorders |
|
| Feeling hot | General disorders |
|
| Localised oedema | General disorders |
|
| Seasonal allergy | Immune system disorders |
|
| Nasopharyngitis | Infections and infestations |
|
| Gastroenteritis | Infections and infestations |
|
| Pharyngitis | Infections and infestations |
|
| Urinary tract infection | Infections and infestations |
|
| Bronchitis | Infections and infestations |
|
| Rhinitis | Infections and infestations |
|
| Enteritis infectious | Infections and infestations |
|
| Contusion | Injury, poisoning and procedural complications |
|
| Tooth fracture | Injury, poisoning and procedural complications |
|
| Platelet count decreased | Investigations |
|
| Neutrophil count decreased | Investigations |
|
| White blood cell count decreased | Investigations |
|
| Alanine aminotransferase increased | Investigations |
|
| Lymphocyte count decreased | Investigations |
|
| Blood creatine phosphokinase increased | Investigations |
|
| Blood lactate dehydrogenase increased | Investigations |
|
| Blood phosphorus decreased | Investigations |
|
| Aspartate aminotransferase increased | Investigations |
|
| Blood albumin decreased | Investigations |
|
| Blood creatinine increased | Investigations |
|
| Red blood cell count decreased | Investigations |
|
| Blood sodium decreased | Investigations |
|
| Haemoglobin decreased | Investigations |
|
| Liver function test abnormal | Investigations |
|
| Weight decreased | Investigations |
|
| Blood alkaline phosphatase increased | Investigations |
|
| Blood potassium decreased | Investigations |
|
| Blood urea increased | Investigations |
|
| Blood uric acid increased | Investigations |
|
| Electrocardiogram QT corrected interval prolonged | Investigations |
|
| Gamma-glutamyltransferase increased | Investigations |
|
| Weight increased | Investigations |
|
| Protein urine present | Investigations |
|
| Blood calcium decreased | Investigations |
|
| Blood fibrinogen increased | Investigations |
|
| Blood folate decreased | Investigations |
|
| Blood potassium increased | Investigations |
|
| Blood pressure decreased | Investigations |
|
| C-reactive protein increased | Investigations |
|
| Haematocrit decreased | Investigations |
|
| Intraocular pressure increased | Investigations |
|
| Lymphocyte count increased | Investigations |
|
| Neutrophil count increased | Investigations |
|
| Protein total increased | Investigations |
|
| Vitamin B12 decreased | Investigations |
|
| Hypophosphataemia | Metabolism and nutrition disorders |
|
| Anorexia | Metabolism and nutrition disorders |
|
| Hypokalaemia | Metabolism and nutrition disorders |
|
| Hyperuricaemia | Metabolism and nutrition disorders |
|
| Myalgia | Musculoskeletal and connective tissue disorders |
|
| Arthralgia | Musculoskeletal and connective tissue disorders |
|
| Back pain | Musculoskeletal and connective tissue disorders |
|
| Flank pain | Musculoskeletal and connective tissue disorders |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders |
|
| Muscular weakness | Musculoskeletal and connective tissue disorders |
|
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders |
|
| Neck pain | Musculoskeletal and connective tissue disorders |
|
| Spinal osteoarthritis | Musculoskeletal and connective tissue disorders |
|
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| Histiocytosis haematophagic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
|
| Headache | Nervous system disorders |
|
| Carpal tunnel syndrome | Nervous system disorders |
|
| Dizziness | Nervous system disorders |
|
| Dizziness postural | Nervous system disorders |
|
| Dysgeusia | Nervous system disorders |
|
| Somnolence | Nervous system disorders |
|
| Insomnia | Psychiatric disorders |
|
| Apathy | Psychiatric disorders |
|
| Pollakiuria | Renal and urinary disorders |
|
| Gynaecomastia | Reproductive system and breast disorders |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders |
|
| Cough | Respiratory, thoracic and mediastinal disorders |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders |
|
| Pharyngolaryngeal pain | Respiratory, thoracic and mediastinal disorders |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders |
|
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders |
|
| Pharyngolaryngeal discomfort | Respiratory, thoracic and mediastinal disorders |
|
| Rash | Skin and subcutaneous tissue disorders |
|
| Alopecia | Skin and subcutaneous tissue disorders |
|
| Skin depigmentation | Skin and subcutaneous tissue disorders |
|
| Acne | Skin and subcutaneous tissue disorders |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders |
|
| Pruritus | Skin and subcutaneous tissue disorders |
|
| Skin exfoliation | Skin and subcutaneous tissue disorders |
|
| Urticaria | Skin and subcutaneous tissue disorders |
|
| Hypertension | Vascular disorders |
|
| Hypotension | Vascular disorders |
|
Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
| D009196 |
| Myeloproliferative Disorders |
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| Deaths |
|
| AEs that led to discontinuation |
|
| Positive at End-of-Study |
|
| Negative at End-of-Study |
|
| F317L mutation at Baseline |
|
| F317L mutation at End-of-Study |
|
| T315I mutation at Baseline |
|
| T315I mutation at End-of-Study |
|
| Month 8 |
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| Month 12 |
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| Month 16 |
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| Month 20 |
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| Month 24 |
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| Month 8 |
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| Month 12 |
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| Month 16 |
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| Month 20 |
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| Month 24 |
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| Month 8 |
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| Month 12 |
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| Month 16 |
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| Month 20 |
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| Month 24 |
|